Organization
DICKSON CLINIC OF CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A DICKSON DC (OWNER)
(336) 777-8540
Entity
Organization
Contact information
Practice address
2909 REYNOLDA RD, WINSTON SALEM, NC 27106-3048
(336) 777-8450
(336) 777-8435
Mailing address
2909 REYNOLDA RD, WINSTON SALEM, NC 27106-3048
(336) 777-8450
(336) 777-8435
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1245
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08351
BLUE CROSS/BLUE SHIELD
NC
05
—
8908351
—
NC
Enumeration date
09/21/2006
Last updated
05/07/2008
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